complaint·April 4, 2024

Continued from LIC 9099... Information obtained and records reviewed revealed that per R1’s physician’s report dated 09/14/2021, R1 is able to follow instructions and is able to communicate their needs. Additionally, the LPA reviewed physician orders dated 12/12/2023 and 03/14/2024, which indicated R1 was prescribed Norco 5-325mg, one (1) tablet every eight (8) hours as needed for severe pain. The LPA reviewed the Narcotic Medication Record starting on 12/13/2023 and noted that R1 was given Norco for pain consistently from 12/13/2023 to 03/23/2024 in the mornings upon waking up; and more recently noted R1 was also given Norco in the evenings on 03/15/2024, 03/17/2024, 03/19/2024, and 03/23/2024. Interviews conducted with staff revealed that R1 would request Norco upon waking up due to pain and added that they would offer R1 Norco in the evenings when R1 appeared to be in pain but was not communicating symptoms with staff. Staff also added that R1 would request more Norco shortly after receiving it; however, they are required to follow the physicians order which stated, “one orally every 8 hours as needed for severe pain… Do not exceed 3 tablets in 24 hours”. Furthermore, Norco was prescribed to R1 as a PRN to take once every eight (8) hours as needed for pain and not every eight (8) hours and as needed. Based on the information obtained and reviewed, there is insufficient evidence to support the allegation of “staff are not following physician’s order”. Therefore, this allegation is being deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. Copy of the report was issued.